Br Med J  1972;2:9-13 (1 April), doi:10.1136/bmj.2.5804.9

Computer-aided Diagnosis of Acute Abdominal Pain

F. T. de Dombal, D. J. Leaper, J. R. Staniland, A. P. McCann, Jane C. Horrocks

This paper reports a controlled prospective unselected real-time comparison of human and computer-aided diagnosis in a series of 304 patients suffering from abdominal pain of acute onset.

The computing system's overall diagnostic accuracy (91·8%) was significantly higher than that of the most senior member of the clinical team to see each case (79·6%). It is suggested as a result of these studies that the provision of such a system to aid the clinician is both feasible in a real-time clinical setting, and likely to be of practical value, albeit in a small percentage of cases.


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